Individual
MR. MIGUEL ANGEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
CARRETERA 167 MARGINAL, APT A EXT FOREST HILL, BAYAMON, PR 00956
(787) 740-7823
Mailing address
CALLE 1 A-14, PARQUE SAN MIGUEL, BAYAMON, PR 00959
(787) 251-7583
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
400
PR
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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